| The Brook Wellness Center, Inc | |
|
11016 E State Highway 76 Branson West MO 65737-9775 | |
| (417) 527-8877 | |
| Not Available |
| Full Name | The Brook Wellness Center, Inc |
|---|---|
| Speciality | Counselor |
| Location | 11016 E State Highway 76, Branson West, Missouri |
| Authorized Official Name and Position | Rose Mary Robinson (PRESIDENT) |
| Authorized Official Contact | 4175278877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Brook Wellness Center, Inc Po Box 826 Branson MO 65615-0826 Ph: (417) 527-8877 | The Brook Wellness Center, Inc 11016 E State Highway 76 Branson West MO 65737-9775 Ph: (417) 527-8877 |
| NPI Number | 1467008599 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 10/20/2023 |
| Certification Date | 06/12/2023 |
| Medicare PECOS PAC ID | 7911479779 |
|---|---|
| Medicare Enrollment ID | O20260612002907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467008599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Primary |
| Provider Name | Cynthia Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225927379 PECOS PAC ID: 7012403660 Enrollment ID: I20260102001662 |
Personal Growth Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Notch Lane, Suite 6, Branson West, MO 65737 Phone: 417-338-4343 |